| NPI | 1215433313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 312577-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 312577) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-08-09 |